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Tanzania Multi Stakeholder Map - WebNG

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6.3 Non-Income Poverty<br />

6.3.1 Education and illiteracy<br />

While there has been a notable increase in primary school enrolments the pace<br />

of transition to secondary schools is low especially for girls. Illiteracy remains<br />

high. About 28.6 percent of <strong>Tanzania</strong>ns cannot read and write in any language.<br />

There is more illiteracy among women (36 percent) than men (20.4 percent). This<br />

state of affairs has significant impact on sound management of chemicals. An<br />

illiterate pesticide user is a potential victim of the pesticide.<br />

6.3.2 Health services<br />

Key obstacles include health care charges, long distances to health facilities,<br />

inadequate and unaffordable transport systems, poor quality of care, weak<br />

exemption and waiver system to the sick who unable to access health care by a<br />

fee, shortage of skilled providers and poor governance and accountability<br />

mechanisms. Poor health adversely affect efforts to eradicate poverty, since the<br />

productive time is lost seeking health services, but also has monetary implication.<br />

The other dimension is that even if the market may have a less toxic pesticide<br />

e.g. X-Pel made from pyrethrums, the poor individual will go for a cheap<br />

alternative which may have more health impacts and hence a poverty spiral.<br />

6.3.3 Survival and nutrition<br />

HIV prevalence rates show a worrying trend, particularly for women of young<br />

age. HIV and AIDS pandemic have a wider implication for other indicators such<br />

as life expectancy. It is also important to note that high rate of infant and child<br />

mortality is due to continuing high prevalence of malaria. As for nutrition,<br />

<strong>Tanzania</strong> has four nutritional disorders (i) protein energy malnutrition (PEM) (ii)<br />

nutritional anemia (iii) iodine deficiency disorders (IDD) and (iv) vitamin A<br />

deficiency (VAD). The challenges include increasing food intake by raising<br />

feeding frequency and consumption of high energy dense foods, increasing<br />

consumption of fruits and vegetables, which are rich in vitamin A and iron,<br />

combating diseases notably malaria and measles, diarrhoea, HIV, intestinal<br />

parasites. These may also have implication on chemical and pesticide use which<br />

require proper sound chemical management.<br />

6.3.4 HIV and AIDS<br />

HIV/AIDS aggravate the health status and future prospects of <strong>Tanzania</strong>ns. It<br />

undermines the foundations of development and attainment of the Millennium<br />

Development Goals and national targets. However, unsound use of chemicals,<br />

drugs in particular aggravates the problem.<br />

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